Botox injections made too weak?

I read that the doctor can make the Botox weak by the amount of saline added to bottle. I had my injection on April 8th and you would never know it now. I had 20 units. Is it possible my injections were made too weak, or does Botox not work on everybody? How do I know for next time? What questions should I ask?  I am 46 and have always taken care of my skin, but my eyes are showing my age. Even when not smiling, I have wrinkles under my eyes.

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3 answers to “Botox injections made too weak?”

A: Benefits of Botox are dose dependent.

Patricia Farris, MD

It doesn't matter how much saline you put in the bottle, it's the number of units that counts.  20 units of Botox is enough to treat the frown lines between the eyes if that's the area you had treated.  The effect should last three months. There are rare patients who do not respond to Botox but they... more

A: Don't feel compelled to stick with a particular doctor.

Kenneth D. Steinsapir, MD

 Dear Wncgirl BOTOX effect should last 4 months.  20 Units of BOTOX is enough to effectively treat the 11 line area for this time frame. On the other hand, you should not just rely on you impression of the service.  It is sometimes hard to remember where you started from.  Go back to your... more

A: Consider additional injections of Botox before making any judgments

Otto Joseph Placik, MD

Yes, the botox can be made weak or not handled properly which can result in loss of effect. I have seen some people that despite multiple injections demonstrate little if any effect. It is in your physician's best interest to achieve a good result. Discuss your concerns with them and their policies regarding... more

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